Community‐based care needs for adults with class III obesity before and after tertiary weight management: An exploratory study

Termaat, Jillian; Piya, Milan K.; McBride, Kate A.

doi:10.1002/osp4.732

Cited by 3 publications

(1 citation statement)

References 42 publications

(117 reference statements)

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“…Despite these limitations, due to the simplicity and convenience of data collection, this study used BMI as a measure of obesity. Previous qualitative research has also suggested that mental health, stigma, and social isolation impact engagement with community-based services [47]. While the baseline QoL scores have been used to try and predict weight loss after bariatric surgery [48], to the author's knowledge, there is no current research on the psychological predictors of mental health outcomes following non-surgical weight management interventions.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Mental Health Outcomes in a Multidisciplinary Weight Management Program for Class 3 Obesity

Lam,

Piya,

Foroughi

et al. 2024

Nutrients

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This study aimed to examine the potential predictors of improvement in mental health outcomes following participation in an intensive non-surgical outpatient weight management program (WMP) in an Australian public hospital. This was a retrospective cohort study of all adults with Class 3 obesity (BMI ≥ 40 kg/m2) who enrolled in the WMP from March 2018 to June 2021. The participants completed the Eating Disorder Examination Questionnaire Short Version (EDE-QS), Kessler-10 Psychological Distress Scale, and 36-Item Short-Form Survey (SF-36) at baseline and 12-month follow-up. A total of 115 patients completed 12 months in the WMP and were included in the study, with 76.5% being female, a mean ± SD age at baseline of 51.3 ± 13.8 years, a weight of 146 ± 26 kg, and a BMI of 51.1 ± 8.6 kg/m2. The participants lost an average of 8.6 ± 0.2 kg over 12 months, and greater weight loss at follow-up was significantly associated with improved global EDE-QS scores, psychological distress, and improved mental health quality of life. However, improvements in most mental health outcomes were not predicted by weight loss alone. Notably, a lower eating disorder risk at baseline was associated with less psychological distress at follow-up and greater weight loss at follow-up. Our results also found an association between reduced psychological distress and reduced binge eating frequency. These findings support the inclusion components of obesity interventions that target the psychological correlates of obesity to support improved outcomes in people with Class 3 obesity. Future studies should aim to identify which aspects of the WMP helped improve people’s psychological outcomes.

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Section: Introductionmentioning

confidence: 99%

Predictors of Mental Health Outcomes in a Multidisciplinary Weight Management Program for Class 3 Obesity

Lam,

Piya,

Foroughi

et al. 2024

Nutrients

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One app fits all? Ethische Reflexion digitaler Gesundheitsanwendungen in der Adipositas-Versorgung

Wellmann,

Müller,

Hansen

2024

Ethik Med

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ZusammenfassungIn Deutschland besteht derzeit eine erhebliche Versorgungslücke bei Adipositas, da es keinen einheitlichen Therapiepfad gibt. Leistungen variieren regional und müssen häufig durch Einzelfallentscheidungen genehmigt werden. Angesichts dieser Problematik wird die Integration digitaler Adipositas-Anwendungen in die bestehende Versorgung diskutiert. Die vorliegende Analyse bietet eine ethische Reflexion über den Einsatz solcher Anwendungen. Sie bewertet deren Eignung für die komplexe chronische Erkrankung Adipositas, die multifaktorielle Ursachen und eine heterogene Betroffenengruppe aufweist. Der Artikel untersucht die sozialen, beratenden und organisatorischen Rahmenbedingungen, die erforderlich sind, um den Bedürfnissen der Betroffenen gerecht zu werden. Damit sollen erste Impulse für eine ethisch reflektierte Begleitung der medizinischen Implementierung und Evaluation von digitalen Adipositas-Anwendungen entstehen. Wir kontextualisieren erstens Adipositas in der deutschen Gesundheitsversorgung mit einem besonderen Fokus auf die organisatorischen Aspekte digitaler Anwendungen. Zweitens fassen wir den Forschungsstand zu den Bedürfnissen von Patient*innen mit Adipositas zusammen und reflektieren die aktuelle Versorgungslage aus einer normativen Perspektive der Bedürfnisgerechtigkeit. Insbesondere Stigmatisierung und Diskriminierung, Diversität der Patient*innengruppe und ganzheitliche Regelversorgung spielen aus dieser Perspektive eine Rolle. Abschließend diskutieren wir unsere Erkenntnisse im Hinblick auf zukünftige Forschungsdesiderate aus empirisch-ethischer Sicht.

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Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review

Mekonnen,

Vasilevski,

Chapman

et al. 2024

Obesity Reviews

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SummaryA scoping review was conducted to identify barriers and enablers to effective weight management in healthcare settings for people living with overweight and obesity in English‐speaking high‐income countries. Peer‐reviewed and gray literature were systematically searched in June 2024. Data were analyzed using inductive thematic analysis. Of the 15,684 unique articles identified and screened for relevance, 216 studies were included. Healthcare‐related barriers and enablers to weight management were organized under three themes: a) healthcare provider‐related factors, b) provision of care, and c) policy/funding. Prominent barriers included healthcare provider knowledge deficits and low prioritization of obesity management, mainly in the primary care setting. Weight management beyond the primary care setting was found to be especially challenging, with poor referral pathways, service fragmentation, lack of multidisciplinary practice, and restricted eligibility criteria, hindering the accessibility of services. Developing consistent policies and guidelines, improving the education of healthcare providers, and increasing funding to provide low‐cost comprehensive care, were identified as enablers to access and uptake of weight management services. Considerable overlap in the identified barriers existed across healthcare providers and settings. A whole health system approach to minimize barriers and strengthen enablers to weight management services is needed, to address rising obesity rates.

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Community‐based care needs for adults with class III obesity before and after tertiary weight management: An exploratory study

Cited by 3 publications

References 42 publications

Predictors of Mental Health Outcomes in a Multidisciplinary Weight Management Program for Class 3 Obesity

Predictors of Mental Health Outcomes in a Multidisciplinary Weight Management Program for Class 3 Obesity

One app fits all? Ethische Reflexion digitaler Gesundheitsanwendungen in der Adipositas-Versorgung

Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review

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